Utilization Manager Jobs in San Diego
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Search Results - Utilization Manager Jobs in San Diego
Central California Alliance for Health-San Diego
and coordination and utilization management
Principles and practices of managed care
Tools and techniques related to data analysis, and reporting
CCS and the regulatory requirements related to CCS and the WCM program
Some knowledge of Knox Keene, Medi-Cal, Title 22...
Macpower Digital Assets Edge Private Limited (MDA Edge)-San Diego
JOB SUMMARY: Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which...
resume-library.com -
San Diego
years of any individual or combined experience in Quality Assurance, Utilization Management, Case Management, and/or provider liaison duties, preferably in an HMO or Managed Care setting
• High school diploma or GED required
• Possession of an active...
icims.com -
Tri City Healthcare District-Oceanside, 35 mi from San Diego
and hospital procedures. Reviews, approves and signs refunds and administrative adjustments up to signature approval.
Works collaboratively with Information Systems, Patient Registration, Utilization Management and other internal departments in resolving...
San Diego
care OR two (2) years of case management/utilization management required.
Skills & Knowledge:
• Knowledge of workers' compensation laws and regulations
• Knowledge of case management practice
• Knowledge of the nature and extent of injuries, periods...
icims.com -
San Diego
efficient strategies which maximize quality care within the current health care environment for the identified patient population. The Case Manager I is responsible for the coordination of utilization management, discharge planning and other health care...
icims.com -
Chula Vista, 9 mi from San Diego
Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
2. Experience in basic to intermediate computer skills/knowledge.
3. High School Diploma...
icims.com -
San Diego
Overview:
Summary:
The Utilization Analyst collaborates with Chief Medical Officer (CMO) and Director of Contracting and Managed Care to track medical management, quality management, and patient and provider grievances, and assist in delivering...
icims.com -
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